SKILL CENTER PROGRAMMING
NURSING ASSISTANT PROGRAM
REGISTRATION PACKET
AND INFORMATION
Classes are offered at the following location:
Casa Grande Center
1015 E. Florence Blvd, A100
Casa Grande, AZ 85122
NAPacket121009
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Overview - Nursing Assistant Program
The Nursing Assistant Program is designed to prepare students to be eligible for Nursing Assistant
Certification through the Arizona State Board of Nursing and upon certification, practice in a health care
agency as a Certified Nursing Assistant and to master skills required to enter into the CAC Nursing
Program. Students may apply to the Nursing Program after successful completion of the prerequisite
courses and completing the admission requirements. The CAC Nursing Program Information and
Application Packets are available at the college admission and/or advising offices on each campus or may
be downloaded on the college website www.centralaz.edu (go to Academics – Divisions and Programs –
Nursing Division).
Applicants seeking to enroll in the Nursing Assistant Program Skills Center Programming courses should
read and print this packet and complete it quickly to ensure enrollment in the class. The completed Skills
Center Programming packet must be submitted to the Casa Grande Center/Skills Center Program at 1015
E Florence Blvd, Casa Grande, AZ 85222. If you have questions or need assistance, contact the Skills
Center Programming at 520-494-6053 for assistance. Only applicants who have submitted completed the
Nursing Assistant Skills Center Programming packets will be allowed to register for the Nursing
Assistant Classes.
Upon satisfactory completion of the Nursing Assistant Skills Center Programming courses, the student is
eligible to receive a certificate of completion. Each student must submit a request for a certificate of
completion 3 weeks prior to completing the Nursing Assistant program. It should be given to them by the
instructor during the last class.
Central Arizona College reserves the right to change without notice, any materials, information,
curriculum, requirements, and regulations in this publication.
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REGISTRATION INFORMATION
Those wishing to register for the Skills Center Programming courses Nursing Assistant Program
must attend one of the CNA Orientations located at the Casa Grande Center Building A, submit a
Request for Registration form, and provide documents via My Health Tracker following the procedure
described below:
1. To register for the CNA Orientation or if you have questions about the process, you can contact:
Penny Miller at 520-494-6053
2. Carefully read through the procedure for requesting registration into the Nursing Assistant courses.
3. Complete the following information:
a. Request the packet for Registration form for Skills Center Programming courses
b. Obtain documented proof of all immunizations
c. Copy both sides of the your CPR Health Care Provider Card (you will receive your CPR
card after completion of the course which is one of the Skills Center Programming
courses)
d. Obtain a physical and have the Health Care Provider Signature Form completed
e. Obtain either your ASSET or COMPASS score with a passing Reading score of RDG094
or higher, transcript indicating passing RDG094, and/or college transcript with w/9
credits
f. Completion of Student Checklist
g. Background Check (You must wait to complete the background check until you have
been given PIN #.)
ALL INFORMATION IS SUBMITTED TO MY HEALTH TRACKER VIA CERTIFIED
BACKGROUND ON A COMPUTER. (Computers are available at the Casa Grande Center
for student use.)
CertifiedBackground.com is a background check service that allows students to request their own
background check. The background check fee is included with costs of the Skill Center Programming
courses. The results of your background are posted to the CertifiedBackground.com web site in a secure,
tamper-proof environment, where the student, as well as limited reviewer within Skills Center
Programming can view the background check. To order your background check from
CertifiedBackground.com, please follow the instructions below.
1. Go to www.CertifiedBackgound.com and click on “Students”
2. In the Package Code Box, enter package code: CE25
3. You will be prompted to enter your Personal Identification Number (PIN). This will be given to
you by Skills Center Programming staff.
Your package requires you to submit immunization, medical and/or certification records. At the end of
the order process you will be prompted to visit a secure web page where you will view additional
instructions for uploading your records. Make sure you print out your confirmation page with your
password so you can return to the system. If you have concerns or problems about the process, please
contact www.Certifiedbackground.com Phone (888) 666-7788 [email protected]
Once your order is submitted, you will receive a password via email to view the results of your
background check. The results will be available in approximately 48-72 hours.
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Part 1 – Accessing your Magnus Account (Secure Website Account)
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Your Order Confirmation page will prompt you to visit a secure website to manage your
immunization records.
From the confirmation page, simply click on the link: “Login to your Magnus Account.”
You will then be re-directed to the Magnus website to set up account. To save you time, your
personal information will auto fill. You will be unable to modify this information in order for it to
match your background check results. Simply re-type your email address and enter the verification
code to continue.
Retype email
After clicking “Next Step,” you will be required to log in with your user name and password.
Your User ID is the 6 digit pass code from CertifiedBackground.com
The password is sent to your email from Magnus.
Part 2 – Navigation through Magnus
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Once you login, you will be brought to your Tracker Home Page. From here you can view all
trackers associated with your school/program. If more than one tracker is listed, please read the
descriptions of the trackers to make sure you select the correct one.
To view the requirements and to begin uploading records, click on the tracker name.
Note: If at any time you navigate away from your tracker, look for the Health Trackers icon
After you have selected your tracker, you can view a list of your school/program requirements.
Any record you have faxed, mailed or emailed will be located in the ”Document Properties/Details”
Part 3 – Uploading Records
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You have multiple options when you need to upload records to your tracker:
Upload Document – Allows you to upload a file directly from your computer or a disk.
Fax or Mail Document – Allows you to print a cover sheet and then fax/mail your information.
To associate a new immunization record, go to “Add New Record”
Here, you can upload files directly from a disc or your computer
Once records have been uploaded, faxed, emailed or mailed, they will be associated with your
account.
Click on “Medical Record Archive” to view all files you have uploaded and to edit information.
You can visit Magnus at any time to upload additional records at a later date:
(www.magnushealthportal.com)
Submit the completed Skills Center Programming Request for Registration form with your name
on an envelope and mail OR deliver it to the following address:
Penny Miller
Central Arizona College
Casa Grande Center
Skills Center Programming
1015 E. Florence Blvd, #A100
Casa Grande, AZ 85122
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Process for Notification of Permission for Registration
1. Completed requests received will be dated and placed in order of receipt.
2. Once Skills Center Programming Request for Registration forms and documents are checked for
requirements and deemed complete by the Professor of Health Careers, the student is eligible for
registration into the Skills Center NA Skills Center course. The number of available positions in the
Nursing Assistant course is limited; students are registered only as space is available. Once students
are notified, the students will be placed on the roster list. Payment is due at the time of registration.
Those students that expect to be funded by a third party, Pell grant, or student loans are responsible
for fees if funding is denied.
3. If the student fails to attend the first day of class the slot will be given to the next student on the
waiting list unless special arrangements have been made.
4. You may call the office, 520-494-6053, to check on placement status if you have not received
notification from us by 1 month prior to the anticipated start of next Skills Center Programming
courses.
Additional Information about the Nursing Assistant Program
1. If you are registered for the Skills Center Programming Nursing Assistant courses and decide not to
attend the program for any reason, you must come to the Skill Center Programming Office and
withdraw in advance of the start date.
2. Any student not attending class or clinical on the first day will be withdrawn from the course. The
Nursing Assistant course has a strict attendance policy and students are expected to attend each
class session.
3. The first 60 hours of class (didactic [classroom] portion) will be held at the Central Arizona
College/Casa Grande Center. The last 90 hours of class (clinical portion) will be held in a nursing
home and/or hospital that have a contract with the Health Careers Department at CAC. Each class
goes as a group to one location at the same time. The beginning and ending times of the clinical
portion may be different than the didactic hours. The clinical hours will probably be 8 hour shifts;
however, will definitely be on the same day of the week and, therefore, different days/times than the
classroom. For this reason, it is not usually a good idea to schedule other classes on the same day(s)
as your Nursing Assistant Class.
4. The uniforms student Nursing Assistants must wear are forest green or hunter green scrub tops, white
or forest green (or hunter green) scrub pants, and white shoes. Students will be expected to wear your
uniform and shoes starting with the second day of class. These items are included in the Skills Center
Programming-Nursing Assistant courses cost.
5. Students will receive textbooks and course materials required for the Skills Center ProgrammingNursing Assistant course. These items will be included in your program cost.
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COST ESTIMATE FOR THE SKILL CENTER PROGRAMMING
NURSING ASSISTANT PROGRAM *
SKL115*
SKL116*
EMS100*
HCC100*
HCC*
HPM125*
Liability Insurance
Textbooks
Classroom materials
Background check
Gait/Transfer Belt
Stethoscope
Blood Pressure Cuff
Watch w/Second Hand
Uniforms
Nursing Shoes
Employment Readiness I (3 credits x $62.00 Arizona Resident)
CPR for Health Care providers l (.5 credits x $62.00 Arizona Resident + $9 lab fee)
Intro to Health Care (3 credits x $62.00 Arizona Resident)
Medical Terminology (3 credits x $62.00 Arizona Resident)
Nursing Assistant Courses (6 credits x $62.00 Arizona Resident)
For all classes with required textbooks
Jump drive, binders, notebooks, etc for all classes
2 sets
Approx Cost
Approx Cost
Approx Cost
Approx Cost
Approx Cost
Approx Cost
Total Estimated Cost of Skills Center Programming Nursing Assistant
Program**
Physical & shots
186.00
186.00
40.00
186.00
186.00
372.00
25.00
600.00
215.00
70.00
14.00
30.00
30.00
20.00
100.00
50.00
Employment Readiness II (3 credits x $62.00 Arizona Resident)
2310.00
Cost will Vary may be $100.00+/- not included in cost
Upon completion of Skill Center Nursing Assistant Program students are eligible to sit for the
examination for certification as Nursing Assistants administered under the guidelines of the
Arizona State Board of Nursing. The cost for obtaining certification is approximately $85.00.
Contact the Arizona State Board of Nursing (ASBON) at http://www.nursing.state.az.us/ or 602889-5150.
*Fees are subject to change by the Central Arizona Community Colleges Governing Board.
**All costs quoted are subject to change.
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REQUIRED DOCUMENTATION INFORMATION
HEALTH RECORDS
Required Immunizations Documentation is as follows:
1. Documentation of 2 MMR (Measles/Rubella, Mumps & Rubella) vaccinations, if done under
the age of 18 or documentation of 1or 2 MMR vaccinations if done after the age of 18
2. Documentation of 2 Varicella (Chickenpox) vaccinations.
3. Documentation of 1 Tetanus/Diphtheria (Td) immunization within the past 10 years.
4. Documentation of 1 Tuberculosis skin test (PPD) and the results within the past 6 months.
a. If skin test is positive, documentation of a chest x-ray negative for evidence of
disease within the past 6 months is required.
5. Documentation of 3 Hepatitis B vaccinations.
a. Documentation of the first vaccination must be submitted with the packet;
documentation of the second one must be submitted one month after the first
vaccination and the third one 4 months after the second vaccination.
If you are immune because you had one of the above diseases, documentation of a positive
Titer Test result may be substituted for documentation of a vaccination. In the case of the
MMR, you would need to submit positive titer results for all 3 diseases. If the Titer Test is
negative, you will need to have the vaccination.
IMPORTANT:
Students are responsible for maintaining their own health records including current CPR certification and
proof of negative TB skin tests until completion of the program. Copies of proof of these updates must be
submitted to the Health Careers Department when due.
Some places that offer immunizations would be your private physician, the Pinal County Health
Department, the Maricopa County Health Department and EVVAX (East Valley Vaccination and
Examination Center in Mesa. Your private physician and EVVAX may offer Titer tests.
Students are responsible for their medical expenses.
CPR CERTIFICATION
You must take a HEALTH CARE PROVIDER CPR Class. CPR certification must include infant,
child, and adult, 1 and 2 man rescuer, and evidence of a land-based demonstration component. CPR
certification must have been completed within the last 12 months. Include a copy of both sides of the
CPR card in your Nursing Assistant Packet. You must take the CPR class in person; online class
certification is not acceptable. This CPR class is included with the Skills Center Programming- Nursing
Assistant courses (see above).
HEALTH CARE PROVIDER SIGNATURE FORM
A health care provider must sign Health Care Provider Signature Form (page 10 of this packet) and
indicate whether the applicant will be able to function as a Nursing Assistant student. Health care
providers who qualify to sign this declaration include a licensed physician (M.D., D.O.), a nurse
practitioner, or physician’s assistant.
If any medical condition exists which may interfere with your becoming a NA, then you may be sent to an
independent practitioner (student is responsible for charges).
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HEALTH DECLARATION: It is essential that nursing students be able to perform a number of
physical activities in the clinical portion of the program. At a minimum, students will be required to lift
patients, stand for several hours at a time, and perform bending activities. Students who have a chronic
illness or condition must be maintained on current treatment and be able to implement direct patient care.
The clinical nursing assistant experience also places students under considerable mental and emotional
stress as they undertake responsibilities and duties impacting patients’ lives. Students must be able to
demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful
consideration to the mental and physical demands of the program prior to making an application.
ASSET OR COMPASS READING TEST
You will need to obtain a copy of the ASSET or COMPASS reading test from the college where you took
the test. If your score is less than 41 on the ASSET or 81 on the COMPASS reading test, you will need to
take and pass Reading 094 prior to enrolling in the Nursing Assistant class. This test can be completed
before or after the CNA Orientation.
If you have completed 9 or more transferrable credits at another college, you will need to have those
credits transferred by having an official transcript sent to Central Arizona College. You may still apply
and register for the Skills Center Programming-Nursing Assistant courses by including an unofficial
transcript showing these credits with your Nursing Assistant Packet.
BACKGROUND CHECK
All students registered for the Certified Nursing Assistant courses will be responsible for obtaining a
background check from Certified Background. The website address is www.CertifiedBackground.com.
WAIVER OF LICENSURE/CERTIFICATION GUARANTEE: Admission or graduation from the
CAC Skills Center Programming-Nursing Assistant Program does not guarantee obtaining a license or
certificate to practice nursing assistant. Licensure and certification requirements and the subsequent
procedures are the exclusive right and responsibility of the Arizona State Board of Nursing. Students
must satisfy the requirements of the Nurse Practice Act: Statutes, Rules and Regulations, independently
of any college or school requirements for graduation.
Pursuant to A.R.S. § 32-1606(B)(17), an applicant for professional or practical nurse license by
examination is not eligible for licensure if the applicant has any felony convictions and has not
received an absolute discharge from the sentences for all felony convictions. The absolute discharge
must be received five or more years before submitting this application. If you cannot prove that the
absolute discharge date is five or more years, the Board cannot consider your application.
After finishing the Skills Center Programming-Nursing Assistant program, as a part of the certification
process, all nursing assistant applicants for certification and licensure must be fingerprinted to permit
the Department of Public Safety to obtain state and federal criminal history information. All applicants
with a positive history are investigated. If there is any question about eligibility for licensure or
certification, contact the nursing education consultant at the Arizona State Board of Nursing (602-8895150).
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REQUEST FOR REGISTRATION
(PRINT) Name _________________________________________Student ID Number______________________
(PRINT) E-Mail Address (will be used to notify you of your acceptance) __________________________________
Phone:
Cell ________________________Day________________________ Evening _____________________
Mailing Address _______________________________________________________________________________
City________________________________________State________________________Zip Code___________
COURSE ID: HPM125 NURSING ASSISTANT
I am requesting
(Check one): ____ Signal Peak Campus in Coolidge
____ Superstition Mountain Campus in Apache Junction
____ Aravaipa Campus
____ Casa Grande Center – Skills Center Programming Course
1st Choice CRN #_______________
2nd Choice CRN #_______________
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Health Care Provider Signature Form
Applicant Name_______________________________ Student ID Number_________________
(Please Print)
It is essential that Nursing Assistant students be able to perform a number of physical activities
in the clinical portion of the program. At a minimum, students will be required to lift patients,
stand for several hours at a time and perform bending activities. Students who have a chronic
illness or condition must be maintained on current treatment and be able to implement direct
patient care. The clinical nursing experience also places students under considerable mental and
emotional stress as they undertake responsibilities and duties impacting patients’ lives. Students
must be able to demonstrate rational and appropriate behavior under stressful conditions.
Individuals should give careful consideration to the mental and physical demands of the program
prior to making application.
I believe the applicant _______ WILL
nursing student as described above.
OR
_______ WILL NOT be able to function as a
If not, explain: _____________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Licensed Healthcare Examiner (M.D., D.O., N.P., P.A.)
Print Name: _______________________________________________
Title: ___________________________
Signature: __________________________________________________ Date: ___________________________
Address:
City:
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___________________________________________________________________________________
__________________________________________ State: ____________________ Zip: ___________
STUDENT CHECKLIST
TO DETERMINE COMPLETENESS OF
NURSING ASSISTANT PACKET
(PRINT)
Name _____________________________________Student ID Number___________________
(PRINT)
E-Mail Address (will be used to notify you of your acceptance) ______________________________
The following items have been enclosed in this packet:
All immunization records must include:
Nurse Assisting rev. 9/15/08
1. your name
2. signature of the healthcare provider giving the immunization
3. date of immunization
_____ Documented proof of MMR (Measles/Rubeola, Mumps, Rubella) vaccinations or 3 positive titer tests.
_____ Documented proof of Varicella (Chickenpox) vaccination or positive titer test.
_____ Documented proof of a Tetanus/Diphtheria (Td) immunization within the past 10 years.
_____ Documented proof of a TB skin test (PPD) and negative results within the last 6 months
or documented proof of a tuberculosis-free status on an x-ray within the last 6 months.
_____ Documented proof of 3 Hepatitis B vaccinations or positive titer test.
Documentation of the first vaccination must be submitted with the packet;
documentation of the second one must be submitted one month after the first vaccination and the third
one 4 months after the second vaccination.
_____ Documented proof of CPR Health Care Provider Certification within the last 12 months.
A copy of both sides of the CPR certification card.
_____
Health Care Provider Signature Form signed by Physician or Physician’s Assistant or a Nurse Practitioner
_____
Placement Scoring showing a passing score of 41 on the ASSET or 81 on the COMPASS Reading Test
or documented proof of a passing grade in Reading 094
or documented proof of an Official Transcript sent to CAC with 9 or more transferrable credits.
Comments:
___________________________________________________________________________________
___________________________________________________________________________________
FACULTY CHECKLIST
___________________________________________________________________________________
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